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Clinical Trials List

Protocol NumberGS-US-384-1943
NCT Number(ClinicalTrials.gov Identfier)NCT03053050

2017-03-03 - 2023-02-28

Phase III

Terminated18

ICD-10K75.81

Nonalcoholic steatohepatitis (NASH)

ICD-9571.8

Other chronic nonalcoholic liver disease

A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study Evaluating the Safety and Efficacy of Selonsertib in Subjects with Nonalcoholic Steatohepatitis (NASH) and Bridging (F3) Fibrosis

  • Trial Applicant

    GILEAD SCIENCES HONG KONG LIMITED

  • Sponsor

    Gilead Sciences

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2025/08/20

Investigators and Locations

Principal Investigator 曾國枝 Division of General Internal Medicine

Co-Principal Investigator

  • 曾志偉 Division of General Internal Medicine

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Principal Investigator 謝財源 Division of General Internal Medicine

Co-Principal Investigator

  • 黃瑋琛 Division of General Internal Medicine
  • 林榮鈞 Division of General Internal Medicine
  • 施宇隆 Division of General Internal Medicine

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Principal Investigator 胡瑞庭 Division of General Internal Medicine

Co-Principal Investigator

  • 張睿欣 Division of General Internal Medicine
  • 黃鼎鈞 Division of General Internal Medicine

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Principal Investigator Cheng-Yuan Peng Division of General Internal Medicine

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Principal Investigator Sheng-Shun Yang Division of General Internal Medicine

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Principal Investigator 陳啟益 Division of General Internal Medicine

Co-Principal Investigator

  • 陳柏岳 Division of General Internal Medicine
  • 周莒光 Division of General Internal Medicine

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Principal Investigator 羅錦河 Division of General Internal Medicine

Co-Principal Investigator

  • 戴啟明 Division of General Internal Medicine
  • 林志文 Division of General Internal Medicine

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Principal Investigator Chi-Jen Chu Division of General Internal Medicine

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

2 Stop recruiting

Audit

None

Principal Investigator 王鴻源 Division of General Internal Medicine

Co-Principal Investigator

  • 施壽全 Division of General Internal Medicine
  • 林煒晟 Division of General Internal Medicine
  • 林慶忠 Division of General Internal Medicine
  • 陳志仁 Division of General Internal Medicine
  • 陳銘仁 Division of General Internal Medicine
  • 胡光濬 Division of General Internal Medicine

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Principal Investigator 陳志州 Division of General Internal Medicine

Co-Principal Investigator

  • 董宏達 Division of General Internal Medicine
  • 李佩倫 Division of General Internal Medicine

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Principal Investigator 蘇維文 Division of General Internal Medicine

Co-Principal Investigator

  • 蘇培元 Division of General Internal Medicine
  • 鄭畬方 Division of General Internal Medicine
  • 徐友春 Division of General Internal Medicine
  • 王舒儀 Division of General Internal Medicine
  • 吳順生 Division of General Internal Medicine
  • 杜思德 Division of General Internal Medicine
  • 林彥至 Division of General Internal Medicine
  • 蘇矢立 Division of General Internal Medicine

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Principal Investigator Rong-Nan Chien Division of General Internal Medicine

Co-Principal Investigator

  • 陳立偉 Division of General Internal Medicine

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Principal Investigator 胡琮輝 Division of General Internal Medicine

Co-Principal Investigator

  • 紀廣明 Division of General Internal Medicine
  • 洪肇宏 Division of General Internal Medicine
  • 吳鎮琨 Division of General Internal Medicine
  • 張國欽 Division of General Internal Medicine
  • 戴維震 Division of General Internal Medicine
  • 顏毅豪 Division of General Internal Medicine
  • 蔡明釗 Division of General Internal Medicine

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Principal Investigator Pin-Nan Cheng Division of General Internal Medicine

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Audit

None

Principal Investigator Cheng-Yuan Peng 未分科

Co-Principal Investigator

Audit

None

Principal Investigator I-Shyan Sheen Division of General Internal Medicine
Linkou Chang Gung Medical Foundation

Taiwan National PI

沈一嫻

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

3 Stop recruiting

Audit

None

Principal Investigator Jee-Fu Huang 未分科

Co-Principal Investigator

Audit

None

Principal Investigator Jia-Horng Kao Digestive System Department

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Principal Investigator Jee-Fu Huang Division of General Internal Medicine

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Principal Investigator 王鴻源 Division of General Internal Medicine

Co-Principal Investigator

  • 陳銘仁 Division of General Internal Medicine
  • 胡光濬 Division of General Internal Medicine
  • 陳志仁 Division of General Internal Medicine
  • 林慶忠 Division of General Internal Medicine
  • 施壽全 Division of General Internal Medicine
  • 林煒晟 Division of General Internal Medicine

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Condition/Disease

Nonalcoholic Steatohepatitis(NASH)

Objectives

The primary objective of this study is:  To evaluate whether selonsertib (SEL, previously known as GS-4997) can cause fibrosis regression and reduce progression to cirrhosis and associated complications in subjects with NASH and bridging (F3) fibrosis The secondary objective of this study is:  To assess the safety and tolerability of SEL in subjects with NASH and bridging (F3) fibrosis

Test Drug

Selonsertib

Active Ingredient

Selonsertib

Dosage Form

Tablet

Dosage

18mg & 6mg

Endpoints

Primary Efficacy Endpoints Analysis:
A stratified Mantel-Haenszel (MH) test will be used to compare the
differences in proportion of subjects who achieve a ≥ 1-stage
improvement in fibrosis without worsening of NASH at Week 48
between each of the SEL arms and the placebo arm, adjusting for
stratification factors. The point estimates and 95% confidence intervals
for the differences in proportions will be calculated.
Clinical Endpoint Analysis:
The clinical efficacy endpoint at Week 240 is EFS. EFS will be assessed
by time to the first clinical event in the Randomized Phase. Differences
in time to the first clinical events between each of the SEL arms and the
placebo arm will be assessed using the stratified log-rank test. The
clinical efficacy endpoint will only be evaluated at Week 240 for the SEL
arm if the SEL arm demonstrates superiority for the primary efficacy
endpoint at Week 48.
Secondary Efficacy Endpoint Analyses:
A stratified MH test will be performed to compare the differences in
proportions between each SEL treatment arm and the placebo arm for the
following endpoints:
• Proportion of subjects who have progression to cirrhosis by Week 48;
• Proportion of subjects who have a ≥ 1-stage improvement in fibrosis
without worsening of NASH at Week 240;
• Proportion of subjects who have a ≥ 1-stage improvement in fibrosis
at Week 48 and Week 240;
• Proportion of subjects who have NASH resolution without worsening
of fibrosis at Week 48 and Week 240.

Inclution Criteria

Key Inclusion Criteria
1) Liver biopsy consistent with NASH (defined as the presence of at
least grade 1 steatosis, hepatocellular ballooning, and lobular
inflammation according to the NAFLD Activity Score [NAS]) and
bridging (F3 fibrosis) according to the NASH CRN classification, in
the opinion of the central reader
a) A historical liver biopsy within 6 months of the Screening visit
may be accepted as the Screening biopsy if the sample is deemed
acceptable for interpretation by the central reader
b) If the subject is deemed ineligible for this study, the liver biopsy,
if performed according to protocol specifications and is within
12 months of the Screening visit, may be used to determine
eligibility for study GS-US-384-1944
2) Subject has the following laboratory parameters at the Screening
visit, as determined by the central laboratory:
a) Alanine aminotransferase (ALT) ≤ 8 x ULN
b) Creatinine Clearance (CLcr) ≥ 30 milliliter/minute (mL/min), as
calculated by the Cockcroft-Gault equation
c) HbA1c ≤ 9.5% (or serum fructosamine ≤ 381 μmol if HbA1c is
unable to be resulted)
d) Total bilirubin ≤ 1.3 x ULN (unless an alternate etiology such as
Gilbert’s syndrome or hemolytic anemia is present)
e) INR ≤ 1.4, unless due to therapeutic anti-coagulation
f) Platelet count ≥ 100,000/μL

Exclusion Criteria

Key Exclusion Criteria
1) Prior history of decompensated liver disease including ascites, HE, or variceal bleeding
2) CP score > 6, as determined at Screening, unless due to therapeutic anti-coagulation
3) MELD score > 12, as determined at Screening, unless due to therapeutic anti-coagulation
4) Chronic hepatitis B virus (HBV) infection (hepatitis B surface antigen [HBsAg] positive)
5) Chronic hepatitis C virus (HCV) infection (HCV Ab and HCV ribonucleic acid [HCV RNA] positive).
Subjects cured of HCV infection less than 5 years prior to the Screening visit are not eligible
6) Other causes of liver disease including, but not limited to, alcoholic
liver disease, hepatitis B, hepatitis C, autoimmune disorders (e.g.,
primary biliary cholangitis, primary sclerosing cholangitis, and
autoimmune hepatitis), drug-induced hepatotoxicity, Wilson disease,
iron overload, and alpha-1-antitryspin deficiency, based on medical
history and/or centralized review of liver histology
7) History of liver transplantation
8) Current or history of HCC
9) Any weight reduction surgery in the 2 years prior to Screening or
planned during study (weight reduction surgery is disallowed during
the study), and malabsorptive weight loss surgery (e.g., Roux-en-Y or
distal gastric bypass) at any time prior to Screening
10) Weight loss > 10% within 6 months of Screening
11) Human immunodeficiency virus (HIV) infection
12) Unstable cardiovascular disease

The Estimated Number of Participants

  • Taiwan

    50 participants

  • Global

    800 participants